Provider Demographics
NPI:1093077752
Name:NURSING ENTERPRISE
Entity Type:Organization
Organization Name:NURSING ENTERPRISE
Other - Org Name:ETN ANGEL CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:MISS
Authorized Official - First Name:LARISSA
Authorized Official - Middle Name:NGUEKAM
Authorized Official - Last Name:YOSSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-990-2608
Mailing Address - Street 1:2101 RHODE ISLAND AVE NE
Mailing Address - Street 2:#102
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2836
Mailing Address - Country:US
Mailing Address - Phone:202-262-3610
Mailing Address - Fax:
Practice Address - Street 1:6733 NEW HAMPSHIRE AVE
Practice Address - Street 2:#612
Practice Address - City:TAKOMA
Practice Address - State:MD
Practice Address - Zip Code:20912
Practice Address - Country:US
Practice Address - Phone:443-990-2608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health